Organization
PRIMECARE COMMUNITY HEALTH, INC.
Active
Organization
PRIMECARE COMMUNITY HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN MCGINNIS (CEO)
(312) 491-5085
Entity
Organization
Contact information
Practice address
5647 W ADDISON ST, CHICAGO, IL 60634-4403
(773) 736-1830
(773) 736-1840
Mailing address
PO BOX 21844, BELFAST, ME 04915-4115
(312) 491-5495
(312) 491-5485
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/27/2011
Last updated
03/04/2019
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